Senior Manager, Revenue Cycle Optimization & Strategy

The role

This individual contributor role finds and fixes root causes of denials, rejections, and revenue leakage. You will own billing system setup, lead root-cause analysis, and build KPI frameworks to support RCM workflows.

What you will do

• Analyze end-to-end RCM workflows to eliminate manual processes and revenue leakage
• Own billing system setup and configuration across RCM platforms
• Build, maintain, and refine RCM KPI dashboards
• Perform routine audits of billing engine rules, logic, and fee schedules
• Lead deep-dive root-cause analyses on claim denials and underpayments
• Serve as the internal checkpoint for claims escalations
• Partner with Technology teams to implement automation
• Partner with Payor Operations on systemic payor issues
• Manage internal and clearinghouse configuration rules
• Lead change management for new billing tools and software integrations

Required qualifications

• 6+ years of progressive healthcare revenue cycle management experience, with at least 3 years in an analytical, optimization, or process improvement capacity
• Bachelor’s degree in Healthcare Administration, Finance, Business Analytics, or a related field or 10+ years in healthcare RCM
• Proven track record of using complex data sets to streamline RCM operations, reduce claim denials, and recover lost revenue
• Strong project management background
• Exceptional analytical and problem-solving skills
• Clear written and verbal communication skills
• Highly collaborative mindset
• Working knowledge of insurance payor policies, billing guidelines, and claims submission requirements
• Familiarity with CPT and ICD-10 codes
• Hands-on experience with payor contract analysis, fee schedule audits, and underpayment identification and recovery

Nice to have

• Experience configuring billing platforms; experience with Apero, Sigma, Mahler, or similar RCM software
• Behavioral health or telehealth billing background
• Previous experience in a fast-paced, high-growth, or startup healthcare environment
• Hands-on experience building custom clearinghouse rules and robotic process automation (RPA)/AI solutions
• Advanced technical mastery in SQL, BI reporting platforms (e.g., Looker, Power BI), EHR/PM systems, and clearinghouse rule builders
• Passion for pediatric mental health and expanding access to high-quality care

Benefits

• 401k with match
• Flexible PTO
• paid holidays
• paid service days
• 4 week paid sabbatical
• 12 week paid parental leave
• health benefits starting on your first day

About the company

InStride Health delivers specialty anxiety and OCD care for kids, teens, young adults, and families. The company combines research-backed clinical care and innovative technology to expand access to insurance-based care.